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General NPI Number Information
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NPI Number | 1225173651
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Entity Type | Organization
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Legal Business Name | JEANNETTE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 1117 LOWRY AVE BUILDING C
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City | JEANNETTE
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State | PA
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Zip | 15644-3074
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Country | US
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Telephone | 724-523-8809
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Fax | 724-523-8812
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Provider Business Mailing Address
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Address Line | 1117 LOWRY AVE BUILDING C
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City | JEANNETTE
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State | PA
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Zip | 15644-3074
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Country | US
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Telephone | 724-523-8809
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Fax | 724-523-8812
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Authorized Official
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Title or Position | PRESIDENT, PT
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Name | DENNIS SOLES
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Credential | PT
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Telephone | 724-523-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT007192L
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License Number State | PA
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